Individual provider Active NPI

Henry Frederick Gregor, M.D.

  • Obstetrics & Gynecology Physician
  • Mount Airy, NC
National Provider Identifier
1487639928
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
33834 Issued in NC
Practice address
510 S South St
Mount Airy, NC 27030
Phone
(336) 786-4522
Fax
(336) 789-3025
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01051269A IN
Obstetrics & Gynecology Physician 207V00000X 33834 NC Primary

Addresses

Primary practice location

510 S South St
Mount Airy, NC 27030

Mailing address

PO Box 2018
Boone, NC 28607-2018
Phone (828) 553-1951

Other practice location 1

642 W Hospital Rd
Paoli, IN 47454-9672
Phone (812) 723-7450

Other practice location 2

906 College Ave SW Ste A
Lenoir, NC 28645-5428
Phone (828) 757-3301

Other identifiers 5

IdentifierTypeStateIssuer
200973290MedicaidIN
8937129MedicaidNC
000000639417OtherINANTHEM PROVIDER NUMBER
37129OtherNCBCBS
N33834MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01051269AINMDObstetrics & Gynecology Physician
33834NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Medical Associates, Inc. Obstetrics & Gynecology Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1487639928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2018",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286072018",
            "telephone_number": "828-553-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S SOUTH ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "27030",
            "telephone_number": "336-786-4522",
            "fax_number": "336-789-3025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "642 W Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "IN",
            "postal_code": "474549672",
            "country_code": "US",
            "telephone_number": "812-723-7450",
            "fax_number": "812-723-7508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "906 College Ave SW Ste A",
            "address_purpose": "LOCATION",
            "city": "Lenoir",
            "state": "NC",
            "postal_code": "286455428",
            "country_code": "US",
            "telephone_number": "828-757-3301",
            "fax_number": "828-757-3254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGOR",
        "first_name": "HENRY",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01051269A",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "33834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200973290",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8937129",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000639417",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "37129",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N33834",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.